Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique

Detalhes bibliográficos
Autor(a) principal: Miguel,Srougi
Data de Publicação: 2003
Outros Autores: Dall'oglio,Marcos, Nesrallah,Luciano J, Arruda,Homero O, Ortiz,Valdemar
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000400010
Resumo: OBJECTIVE: To describe the original cystoprostatectomy technique which allows the preservation of sexual and urinary function in the majority of treated patients. SURGICAL TECHNIQUE: The described technique presents some details that distinguish it from classic cystectomy: 1) a more efficient control of prostate venous and arterial tributaries; 2) preservation of prostatic capsule and enucleation of prostatic parenchyma, which is removed in block together with the bladder, without violating the vesical neck; 3) no manipulation of the distal urethral sphincteric complex; 4) preservation of seminal vesicles and maintenance of cavernous neurovascular bundles; 5) wide anastomosis between the ileal neobladder and the prostatic capsule. COMMENTS: The proposed maneuvers allow the performance of radical cystectomy with integral preservation of distal urethral sphincter and of cavernous neurovascular bundles, without jeopardizing the oncological principles.
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spelling Radical cystectomy with preservation of sexual function and urinary continence: description of a new techniquebladderbladder neoplasmscystectomyurinary diversionurinary reservoirs/continenceOBJECTIVE: To describe the original cystoprostatectomy technique which allows the preservation of sexual and urinary function in the majority of treated patients. SURGICAL TECHNIQUE: The described technique presents some details that distinguish it from classic cystectomy: 1) a more efficient control of prostate venous and arterial tributaries; 2) preservation of prostatic capsule and enucleation of prostatic parenchyma, which is removed in block together with the bladder, without violating the vesical neck; 3) no manipulation of the distal urethral sphincteric complex; 4) preservation of seminal vesicles and maintenance of cavernous neurovascular bundles; 5) wide anastomosis between the ileal neobladder and the prostatic capsule. COMMENTS: The proposed maneuvers allow the performance of radical cystectomy with integral preservation of distal urethral sphincter and of cavernous neurovascular bundles, without jeopardizing the oncological principles.Sociedade Brasileira de Urologia2003-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000400010International braz j urol v.29 n.4 2003reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-55382003000400010info:eu-repo/semantics/openAccessMiguel,SrougiDall'oglio,MarcosNesrallah,Luciano JArruda,Homero OOrtiz,Valdemareng2004-03-15T00:00:00Zoai:scielo:S1677-55382003000400010Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2004-03-15T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
title Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
spellingShingle Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
Miguel,Srougi
bladder
bladder neoplasms
cystectomy
urinary diversion
urinary reservoirs/continence
title_short Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
title_full Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
title_fullStr Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
title_full_unstemmed Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
title_sort Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
author Miguel,Srougi
author_facet Miguel,Srougi
Dall'oglio,Marcos
Nesrallah,Luciano J
Arruda,Homero O
Ortiz,Valdemar
author_role author
author2 Dall'oglio,Marcos
Nesrallah,Luciano J
Arruda,Homero O
Ortiz,Valdemar
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Miguel,Srougi
Dall'oglio,Marcos
Nesrallah,Luciano J
Arruda,Homero O
Ortiz,Valdemar
dc.subject.por.fl_str_mv bladder
bladder neoplasms
cystectomy
urinary diversion
urinary reservoirs/continence
topic bladder
bladder neoplasms
cystectomy
urinary diversion
urinary reservoirs/continence
description OBJECTIVE: To describe the original cystoprostatectomy technique which allows the preservation of sexual and urinary function in the majority of treated patients. SURGICAL TECHNIQUE: The described technique presents some details that distinguish it from classic cystectomy: 1) a more efficient control of prostate venous and arterial tributaries; 2) preservation of prostatic capsule and enucleation of prostatic parenchyma, which is removed in block together with the bladder, without violating the vesical neck; 3) no manipulation of the distal urethral sphincteric complex; 4) preservation of seminal vesicles and maintenance of cavernous neurovascular bundles; 5) wide anastomosis between the ileal neobladder and the prostatic capsule. COMMENTS: The proposed maneuvers allow the performance of radical cystectomy with integral preservation of distal urethral sphincter and of cavernous neurovascular bundles, without jeopardizing the oncological principles.
publishDate 2003
dc.date.none.fl_str_mv 2003-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000400010
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000400010
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1677-55382003000400010
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.29 n.4 2003
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
instname_str Sociedade Brasileira de Urologia (SBU)
instacron_str SBU
institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
repository.name.fl_str_mv International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)
repository.mail.fl_str_mv ||brazjurol@brazjurol.com.br
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